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心脏移植受者的生活经历。

Life experiences in heart transplant recipients.

作者信息

Monemian Sharifeh, Abedi Heidarali, Naji Saied Ali

机构信息

Department of Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.

Department of Nursing, School of Nursing and Midwifery, Khorasgan (Isfahan) Branch, Islamic Azad University, Isfahan, Iran.

出版信息

J Educ Health Promot. 2015 Mar 26;4:18. doi: 10.4103/2277-9531.154037. eCollection 2015.

Abstract

INTRODUCTION

Heart transplantation is considered as a golden standard of treatment for advanced heart failure. After - transplantation health of patients is influenced by numerous issues which many of them are unknown to the treatment team including nurses. This research - with the aim of describing the life experiences of heart transplant patients - help us to get close to the patients private life and gain comprehensive and a general understanding of all aspects of their life.

METHODS

This study applied qualitative approach using phenomenology method. The purposive sampling was conducted and continued with 9 participants until information reached saturation point. The participants are the heart transplant recipients who had surgery in Esfahan's Heart Surgery Center of Shahid Chamran.

RESULTS

The extracted interviews were analyzed through Colaizzi method: The eleven extracted main concepts were included: Belief, tendencies of the recipient and family of donor, bewilderment, moment of facing with transplantation, satisfaction, vital organ, support, temperament, physical effects of transplantation, mental changes, paradox of life and death.

CONCLUSION

In heart transplant patients, being in touch with peers and family support have an important role in putting up with the transplantation issue. Lack of social situation and social support were among the patients distresses. Lack of the necessary information about transplantation made patients dissatisfied with the heart transplantation. Regarding the research findings, training received by patients would not be suffice and lack of information has been made them face with problems; therefore, the nurse team of transplantation should play more an active role in training the patients.

摘要

引言

心脏移植被视为晚期心力衰竭治疗的金标准。移植后患者的健康受到诸多问题的影响,其中许多问题连包括护士在内的治疗团队都并不知晓。这项旨在描述心脏移植患者生活经历的研究,有助于我们走近患者的私人生活,全面、整体地了解他们生活的各个方面。

方法

本研究采用质性研究方法中的现象学方法。采用目的抽样法,持续招募9名参与者,直至信息达到饱和点。参与者为在设拉子沙希德·查姆兰心脏外科中心接受手术的心脏移植受者。

结果

通过科拉齐方法对提取的访谈内容进行分析:提取出的11个主要概念包括:信念、受者及供者家属的倾向、困惑、面对移植的时刻、满意度、重要器官、支持、性格、移植的身体影响、心理变化、生死悖论。

结论

对于心脏移植患者而言,与同侪接触及家人支持在应对移植问题方面发挥着重要作用。缺乏社交状况和社会支持是患者苦恼的因素之一。对移植缺乏必要信息使患者对心脏移植不满。鉴于研究结果,患者接受的培训并不充分,信息匮乏使他们面临问题;因此,移植护士团队应在培训患者方面发挥更积极的作用。

相似文献

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Life experiences in heart transplant recipients.心脏移植受者的生活经历。
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本文引用的文献

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Heart transplantation experiences: a phenomenological approach.心脏移植经历:一种现象学方法。
J Clin Nurs. 2008 Apr;17(7B):217-25. doi: 10.1111/j.1365-2702.2007.02206.x.
9
Who returns to work after heart transplantation?心脏移植后谁会重返工作岗位?
J Heart Lung Transplant. 2005 Dec;24(12):2255-61. doi: 10.1016/j.healun.2005.08.006.

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